Publication:

Clino-radiological and functional outcome of intra-articular distal radius fractures treated with volar locking plate system

Background No uniform consensus exists to decide type of fixation for unstable distal radius fractures. The objective of the study is to evaluate the patients on regular follow up for radiological & functional status. We evaluated the effectiveness and outcomes of unstable distal radius fractures treated with locking plates.

Methods The study design was prospective observational study. 36 patients with distal radius fractures deemed unsuitable for conservative management underwent ORIF with a volar locking plate. The evaluation methods were clinical examination, DASH score and PRWE score. Patients were followed up from minimum of 2 weeks to 6 months. This data was analysed in MS excel and SPSS software version 19.0 for testing the association between different variables by using the chi-square tests.

Results The mean age of patients was 45 years with male preponderance. As per DASH score 17 patients had zero score implying no disability. In the remaining 19 patients score ranged from 4 to 24 with a mean of 11 indicating good outcome. PRWE score was best in 17 patients and worst in zero patients.

Conclusions The fixation of unstable distal radius fractures with volarly applied locking plates without bone grafting and prolonged immobilisation is an effective method & hence has gained worldwide acceptance and is highly recommended.